Edenborough Hibionada
NPI 1912891615 · Geriatric Physical Therapist · Myrtle Beach, SC
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edenborough Hibionada is a Geriatric Physical Therapist provider in Myrtle Beach, SC (NPI 1912891615).
Provider details
- NPI number
- 1912891615
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2841 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-06
- Last updated
- 2025-06-06
- Certified
- 2025-06-06
Frequently asked questions
- What is Edenborough Hibionada's NPI number?
- Edenborough Hibionada's National Provider Identifier (NPI) is 1912891615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edenborough Hibionada's specialty?
- Edenborough Hibionada is listed in the NPPES registry with a primary specialty of Geriatric Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Edenborough Hibionada located?
- Edenborough Hibionada's practice location on file with NPPES is 3412 Picket Fence Ln, Myrtle Beach, SC 29579-3323.
- What is Edenborough Hibionada's phone number?
- The practice phone number listed in the NPPES registry for Edenborough Hibionada is (843) 450-4936.
- Does Edenborough Hibionada accept Medicare?
- Edenborough Hibionada is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edenborough Hibionada's NPI active?
- Yes — Edenborough Hibionada's NPI (1912891615) is active in the NPPES registry as of the last update on 2025-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.